Biotech Strategy Blog

Commentary on Science, Innovation & New Products with a focus on Oncology, Hematology & Immunotherapy

Posts tagged ‘Alisertib’

It’s time to turn our attention to the annual AACR-NCI-EORTC international conference on molecular targets and cancer therapeutics, often dubbed simply as TARGETS or TRIPLE for many industry observers.

Spotting the wood from the trees

With the ongoing pandemic, this year’s meeting remains a virtual one and runs from today through Sunday.

There’s quite a lot of intriguing abstracts to cover this year so we kick off our coverage with a look at KRAS combinations.

While the single agent activity of both sotorasib and adagrasib has been encouraging in lung cancer with G12C mutations, the rest test was always going to be what combinations will emerge as winners in terms of overcoming primary or acquired resistance (the mechanisms might be different in each case) in order to improve outcomes further.

Any agent targeting the MAPK pathway will necessarily be challenging in combination with KRAS inhibitors due to toxicities, but are there other approaches or could we finesse the dosing/schedules more optimally?

Here we look at two such combination strategies to see how they are faring…

BSB subscribers can read up on our latest commentary and analysis from the cancer conference season as we begin our TRIPLE meeting coverage – you can log-in or click to access our latest analysis.

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Aggressive lymphoma… the very phrase is enough to send chills down your spine!

ASH Annual MeetingIn the past, much of the focus at previous American Society of Hematology (ASH) meetings in this area has focused on the myriad of chemotherapy regimens and dose/schedule optimisations that followed in trying to boost patient outcomes.

This year, I’m pleased to say that things have quite a different flavour with numerous new therapeutics and promising combinations in development.

Some of these are inevitably hypothesis testing, while others will be up-levelling to large randomised controlled multi-centre trials.

As part of our ongoing preview series, we take a look at the different categories to watch out for beyond chemotherapy.  These include monoclonal antibodies, antibody drug conjugates, targeted therapies and yes, even immunotherapies.

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San Francisco – Acute Myeloid Leukemia (AML) is largely a disease of the elderly since it is uncommon before the age of 45. It generally has a much poorer prognosis compared to other leukemias such as CML and even ALL.

There are two main treatment options – high chemotherapy (ara-C is the main bedrock) or a stem cell transplant in those patients who are considered eligible. With the average age at diagnosis being ~66yo, many patients may be elderly and frail, making a SCT not a viable option.

Ara-C (cytarabine) has been around for many years and despite numerous clinical trials, it has yet to be displaced. There’s plenty of room for improvement though, and a high unmet medical need still exists. The good news is that despite the challenge of finding a highly effective yet well tolerated therapy, there’s a lot of R&D activity in this space.

In this preview of the data to be presented at the American Society of Hematology (ASH) annual meeting in San Francisco, I highlight my top 10 AML abstracts that are worth checking out.

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